Occupational Participation in Persons with Chronic Schizophrenia Who Live in a Long-stay Facility
Date Issued
2004
Date
2004
Author(s)
Wu, Hsi-Wen
DOI
zh-TW
Abstract
The purpose of this study was to explore the experiences of occupational participation in persons with chronic schizophrenia who live in a long-stay facility. It investigated the characteristics of occupations performed, how occupations were participated in the facility, any impact on the health and well-being, and factors that influenced occupational participation. The methods of grounded theory were used. Six participants including 5 male and 1 female were interviewed. Their average age was 42.4 years old, and the length of stay in the facility ranged from 0.6 to 14.3 years. Some of the participants were interviewed twice, and in total nine interviews were completed. The results of this study revealed that the characteristics of occupation performed in the long-stay facility was sameness day after day, and was predominantly composed of passive activities. Patients in the facility lived as a group, and there was a lack of individual activities and privacy. The pattern of occupational participation was highly structured. The participation was passive and for killing time. Occupational participation was affected by personal factors such as personal values or the awareness of normalization/deterioration, and environmental factors such as restrictions of institutional rules or lack of family support. Participants’ comparisons of his or her living status before and after admitted into the facility revealed a phenomenon of relative comparison, which affected occupational participation as well. It was found that factors affecting occupational participation were mediated by personal values, and that the same factor may not affect occupational participation in the same way among different patients. In line with existing literature, the findings of the study supported occupational performance as the product of dynamic and interwoven relationships among person, occupation, and environment. In particular, the study outlined the characteristics of factors in social and cultural environments and their impact on occupational participation. Findings of the study may provide health professionals with useful information about the phenomena of occupational participation and advancing the care of this client population in the long-stay facility.
Subjects
機構化
質性研究
職能治療
qualitative research
occupational therapy
institutionalization
Type
text
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